Category: Informed Flash

Principal or Primary Diagnosis for Chemotherapy Administration According to the ICD Manual guidelines, encounter for antineoplastic chemotherapy (ICD-10 code Z51.11) or encounter for antineoplastic immunotherapy (ICD-10 code Z51.12) must be the principal or primary diagnosis, followed by the diagnosis of the current acute disease or injury for chemotherapy administration (96401-96450,... View Release

Dr. Kristine Carpenter, a Carle family medicine OB-GYN in Mattoon, IL, boasts high numbers when it comes to chlamydia screening rates. While the subject matter is sometimes tricky to approach, there is nothing tricky about her approach at all. “What’s really interesting is there’s nothing really earth-shattering about it,” Carpenter... View Release

There’s a new blood glucose-monitoring device, called Freestyle Libre, which uses sensor needle pads for continuous glucose readings instead of frequent finger sticks. While this device is available through certain DME providers and in retail pharmacies, we are only covering the Freestyle Libre under the DME benefit. We cover all... View Release

We were having you send preauthorizations on CPAPs and supplies for certain self-funded group plans through the Your Health Alliance preauthorization forms. Starting February 1, please send these preauthorizations through eviCore instead. Use the Request Preauthorization tab on Your Health Alliance for providers to start a preauthorization with eviCore. These... View Release

Our provider directories are a key resource for our members to reach you. Members use them to search for new providers, get directions to clinics, and find contact information to schedule appointments. To make sure the information in our provider directories is accurate, we are performing audits. CMS audits are... View Release